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Robert John Berg, MD
Specialist in Meridian, Mississippi
NPI 1114901063

Robert John Berg is a Specialist based in Meridian, MS. Robert John Berg practices in Meridian, MS and has the professional credentials of MD. The NPI Number for Robert John Berg is 1114901063 and holds a License No. 06978 (Mississippi).

The current practice location address for Robert John Berg is 2024 15Th St, Meridian, MS and can be reached out via phone at 601-482-5174 and via fax at 601-482-5175.

Location: 2024 15Th St, Meridian, MS, 39301-4130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114901063
Provider Name
Robert John Berg
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2024 15Th St, Meridian, MS, 39301-4130
Phone Number
601-482-5174
Fax Number
601-482-5175
Provider Enumeration Date
12/05/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00018061 05 MS
73006066 01 MS BLUE CROSS ALABAMA
institution
Provider Business Practice Location Address Details
Address
2024 15Th St
City
Meridian
State
Mississippi
Zip
39301-4130
Phone Number
601-482-5174
Fax Number
601-482-5175
person
Provider Business Mailing Address Details
Address
2024 15Th St
City
Meridian
State
Mississippi
Zip
39301-4130
Phone Number
601-482-5174
Fax Number
601-482-5175
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
06978 (Mississippi)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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